ArticleWorld journal of gastrointestinal endoscopy2025
Does wire-guided cystotome dilation for difficult benign bilio-pancreatic strictures guarantee long-term patency? A narrative mini-review of the literature.
Article in World journal of gastrointestinal endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Cystotome Use for Impassable Biliopancreatic Strictures: Efficacy and Safety-Systematic Review and Single Center Case Series.Clinical and translational gastroenterology · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDifficult benign biliary and pancreatic strictures are generally managed by using a Soehendra screw or cystotome. Many previous studies described the techniques without information even of mid-term follow-up.
aimTo confirm the long-term patency of dilated strictures following the application of a cystotome.
methodsData were collected from analysis of the literature using appropriate key words. Technical success was defined as the ability to traverse the stricture. Clinical success was defined as drainage of biliary or pancreatic strictures and symptoms' resolution. PRISMA criteria were followed to write the present review.
resultsThree papers were selected following the inclusion criteria. Our case series was added to the review of the literature. Reported technical and clinical success rates were 100% in all the studies and the rate of adverse events was reported from 9.1% to 60%. However, data on follow-up and long-term patency are scant.
conclusionThe use of a cystotome can be considered an alternative method for dilation of difficult pancreatic and biliary strictures, after the failure of conventional modalities. According to available literature, long-term results are rarely described, and this is still a crucial issue to evaluate the effectiveness of the technique.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.